NPI | 1043094279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014304A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 28260495A) |
Enumeration Date | 2023-08-21 |
Last Update Date | 2023-09-15 |